ERICK FOUNTAIN

MACOMB, MI
NPI1255529434
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: MI  5501010159)
Enumeration Date2007-10-12
Last Update Date2007-10-12
Business Address
-- ERICK FOUNTAIN PT
21384 PINE CONE DR
MACOMB, MI 48042-4335
Phone number: 586-949-5334
Mailing Address
-- ERICK FOUNTAIN PT
21384 PINE CONE DR
MACOMB, MI 48042-4335
Phone number: 586-949-5334
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